Community acquired UTI demographic and clinical profile: A New Insight!

Dr Hrishikesh Deshmukh; Dr Jaydeep Date; Dr Subodh Shivde; Dr Prakash Patwardhan

Volume : VI, Issue : VIII, August - 2017

Community acquired UTI demographic and clinical profile: A New Insight!

Dr Hrishikesh Deshmukh, Dr Jaydeep Date, Dr Subodh Shivde, Dr Prakash Patwardhan

Abstract :

Purpose

Acute uncomplicated UTI (Community acquired UTI) is one of the most common problems for which patients seek medical attention to the urologist. In this era antibiotic resistance rising incidence of ESBL E. Coli is of great concern. Community acquired urinary infections that are usually considered to be susceptible to most of the commonly prescribed antibiotics

We have done a study to gain insights into the demographic and clinical patterns of community acquired Urinary tract infections

Materials and methods

We have done prospective and retrospective observational study in our tertiary care institute from the period Jan 2011 to Sept 2012 on 540 patients with community acquired urinary tract infections

Results

E. coli is the most common pathogen. The incidence of E.coli ESBL is rising (57%).Antibiotic resistance is increasing with TMP–SMX, Quinolones, Nitrofurantoin, B–lactam antibiotics. Aminoglycosides (17%) share least resistance with carbapenems (21%)

Conclusions

There is a rising incidence of resistance to commonly prescribed antibiotics even in community acquired setting

Nitrofurantoin should be used as a first line therapy to avoid cross resistance pending culture in community acquired setting